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Management

Location:
Center Moriches, NY
Posted:
November 21, 2022

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Resume:

Data Portability for Donna Racioppi

Table of Contents

Demographics

Care Team Members

Assessment

Plan of Treatment

Reason for Referral

Results

Problems

Procedures

Medical Equipment

Allergies

Medications

Vitals

Social History

Functional Status

Mental Status

Family History

Medical History

Immunizations

Past Encounters

Goals Section

Health Concerns Section

Advance Directives

Payers

Demographics

Sex: Female Ethnicity: Not Hispanic or Latino

DOB: 10/23/1971 Race: White

Preferred

language:

English Marital status: Married

Previous Name:

Contact: 16 Red Bridge Rd, Center Moriches, NY 11934, Ph. tel:+1-631-***-**** (Primary Home) tel:+1-631-***-**** (Mobile)

Care Team Members

Other

None Recorded

Assessment

No assessment recorded.

Patient Targets No targets recorded.

Plan of Treatment

Reminders Order Date Submit Date Provider Details

Appointments Follow Up 30 05/05/2022 04:45PM Mark Bernstein, MD Lab None recorded.

Referral None recorded.

Procedures None recorded.

Surgeries None recorded.

Imaging None recorded.

Reason for Referral

None Reported.

Results

None recorded.

Problems

No information.

Procedures

Surgical History

None recorded.

Imaging Results

None recorded.

Medical Equipment

None Reported.

Allergies

No information

Medications

No information.

Vitals

None Recorded

Social History

None recorded.

Functional Status

None recorded.

Mental Status

None recorded.

Family History

Nothing Reported.

Medical History

No medical history recorded.

Gynecological History No gynecological history recorded. Obstetrics History

GPAL:

G 0 P 0 0 0 0

Immunizations

None recorded.

Past Encounters

None Reported.

Goals Section

Goal Description Status Start Date Updated by Updated on None Recorded

Health Concerns Section

Related Observation

None Recorded

Concern Status Updated by Updated on

None Recorded

Advance Directives

Directive

None Recorded

Payers

None recorded.



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